CMS Price Transparency Data

X-ray, chest (two views)

Facility: Larkin Community Hospital Palm Springs Campus

Billing Code: 71046 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 71046
  • Insurance Median: $184
  • Cash Discount Price: $254
  • vs. Medicare Baseline: 2.07x Medicare
The contracted insurance negotiated median rate for a X-ray, chest (two views) at Larkin Community Hospital Palm Springs Campus is $184. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $254. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 2.07x the Medicare baseline. Located in 1475 W 49Th St, Hialeah, FL.
Cash / Self-Pay
$254

Average discount available for prompt cash payment at this facility.

Insurance Median
$184

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$88.91

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $88.91 (100%)
Cash / Self-Pay: $254 (286%)
Insurance Median: $184 (207%)
Cash: $254 (286% of Medicare)
Ins. Median: $184 (207% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $88.91 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 207% of the Medicare baseline (a markup of 107%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
Bright Health Commercial - All Other Plans $11 - $109 12%
Clear Springs Health - All Plans $11 - $95 12%
Medicare (plans) $11 - $709 12%
Aetna $36 - $91 40%
Florida Community Care Mcaid-All Plans $36 40%
Miami Childrens Hp Mcaid-All Plans $36 40%
Simply Healthcare Mcaid $36 40%
Sunshine Mcaid $36 40%
United Mcaid $36 40%
Wellcare Mcaid $36 40%
Ambetter / Centene $91 102%
Blue Cross Blue Shield $91 - $619 102%
Opus Hospice Ip Only - All Plans $91 102%
Unicare Simply Mcare Ppo - All Plans $95 107%
Ccs - All Plans $123 138%
Fdc - All Plans $127 143%
Cigna $177 199%
Humana $213 - $709 240%
Wellcare Comm (Choice) - All Other Plans $354 398%
Leon Med Center Mcr Adv - All Plans $638 718%
Careplus Health - All Other Plans $709 797%
Centurion Doc - All Plans $709 797%
Doctors Healthcare - All Plans $709 797%
Florida Health Solution/Hmo - All Plans $709 797%
Preferred Care Partners Mcr - All Plans $709 797%
Simply Healthcare Mcr - All Other Plans $709 797%
UnitedHealthcare $709 797%
Naphcare - All Plans $815 917%
Oscar Health-All Plans $1,418 1595%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1475 W 49Th St, Hialeah, FL 33012
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals